Jeremy Shortt

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Technical Skills Passing Dribbling Receiving Finishing Tactical Skills Moving off the ball

With Jeremy Shortt

Defending 1v1, etc •

AT THE RESERVOIR

Specialized goalie training and evaluation

Jerem y Shortt 206 Chestnut Drive Brandon, MS 39047 Phone: 601.613.9093 Email: [email protected]

Striving for excellence… One touch at a time! Phone: 601.613.9093

R EG I STR A TI ON FOR M

A native of Arima, Trinidad, Jeremy played on the U15 to U23 Youth National teams of Trinidad and Tobago. While in Trinidad, he played on the semiprofessional team “Superstar Rangers” where he was a starting forward and leading scorer in 19901991. Jeremy then came to the United States in 1995 and continued his soccer career at Belhaven College until 1999. While earning his undergraduate degree from Belhaven, he was a standout and named NAIA All-American in 1997. Shortly thereafter, Jeremy played with the Jackson Chargers semi-professional team and led 2nd in the league with goals. He served as the head women’s coach at St Joseph’s High School for 8 years and led the team to their first state title. Jeremy also coached the MRA soccer teams where they won state championship in 2012. He is currently the head coach for the Brandon Girls High School soccer team. Jeremy currently holds his USSF “B” License, is a head coach for 2 teams with the Mississippi Rush (formerly Mississippi Fire), and is the director of the Northwest Athletic Association soccer program.

Name: __________________________ Address: ___________________________ City: ___________ St: _____ Zip: _______ Phone: ___________________Age: ______ Physician’s Name: ____________________ Physician’s Phone: ____________________ Medical problems staff should know: _______________________________________ _______________________________________ Emergency Contact: Name: _____________________________ Phone: _____________________________

CAMP DISCLOSURE:

Important Information

ALL CAMPERS BRING:

I (parent or guardian), do hereby waive and release any and all claims to damage or personal injury against NWRAA, Reservoir Soccer Fields, and all other persons and organization associated with camp in name, incurred by, while participating in, and to and from camp location.



Soccer Ball



March  13-­‐16,  2017



Cleats



8:00am-­‐11:  30  am      



Shin-guards



Early  drop  off  at  7:15am                                                            Print Name of parent or guardian



Water



Ages  4-­‐14  (boys  and  girls)



Sunscreen/Bug Spray



Cost:  $80

Snack



Reservoir  Soccer  Complex



**  For  more  information,  contact   Jeremy  @  601-­‐613-­‐9093  or   [email protected]    

___________________________________

Signature of parent or guardian * Please make checks payable to: Jeremy Shortt. * 206 Chestnut Drive, Brandon, MS 39047

THANK YOU!